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Equine-related facial fractures
1Oral and Maxillofacial Surgery Unit, Christchurch Hospital, Christchurch, New Zealand. klee1@gmp.usyd.edu.au
International Journal of Oral and Maxillofacial Surgery
|June 28, 2008
Summary
Horseback riding can lead to facial injuries. This study found midfacial fractures are common in young adults, often requiring surgery and hospitalization.
Area of Science:
- Trauma Surgery
- Orthopedics
- Sports Medicine
Background:
- Horseback riding is a popular recreational activity with inherent risks of injury.
- Maxillofacial fractures are a significant concern in equine-related incidents.
- Tertiary referral centers manage complex trauma cases, including facial injuries.
Purpose of the Study:
- To analyze the patterns of maxillofacial fractures resulting from horseback riding.
- To document the incidence, demographics, injury characteristics, and treatment outcomes.
- To compare equine-related facial fractures with those from other causes.
Main Methods:
- Retrospective review of a trauma database over an 11-year period (1996-2006).
- Identification of patients with equine-related maxillofacial fractures.
- Documentation of injury extent, surgical management, and hospitalization details.
Main Results:
- 45 patients with equine-related maxillofacial fractures were identified, showing an increasing incidence.
- The majority of patients were young adults (16-30 years), with a higher proportion of females compared to other facial fracture causes.
- Midfacial fractures were most common (73%), with a high requirement for surgical intervention (67%) and hospitalization (64%).
Conclusions:
- Equine-related maxillofacial fractures predominantly affect young adults and require significant surgical intervention.
- Midfacial region is the most common site for these injuries.
- Unlike other facial fractures, alcohol was rarely a contributing factor in this cohort.
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